I-Elbow Joint: Ake sifunde ngaleli lungu elincane kodwa elimangalisayo.

Wake wacabanga ukuthi sisebenzisa kangaki izindololwane zethu ngosuku? Kusukela ekuphuzeni inkomishi yetiye, ukukhuluma ngocingo, ukubhala, nokuphakamisa izinsimbi, sidinga izindololwane zethu kukho konke. Kodwa asicabangi kakhulu ngazo kuze kube yilapho sizwa ubuhlungu obuncane ezindololwaneni zethu, akunjalo? Kodwa leli lunga elincane empeleni liyisakhiwo esiyinkimbinkimbi kakhulu nesimangalisayo emzimbeni wethu. Ngakho-ke namuhla, ake sixoxe ngakho konke mayelana nelunga lethu lengalo, kalula.

Iyini ngempela le ngxube yendololwane?

Kalula nje, indololwane iyilungu elixhumanisa ingalo yakho engenhla, noma ingalo yakho engezansi. Liyingxenye ebaluleke kakhulu ohlelweni lwethu lwamathambo. Ngaphakathi kwaleli lungu akukhona amathambo kuphela, kodwa futhi kukhona ne-cartilage, imisipha, imisipha, imizwa, kanye nemithambo yegazi.

Uma unesihlungu sendololwane, ukuqina, noma ubunzima bokusebenzisa ingalo yakho, bona udokotela wakho ngokushesha . Angahlonza imbangela futhi akunikeze ukwelashwa okufanele kakhulu.

Yini esingayenza ngezindololwane zethu?

Ilunga lendololwane lisivumela ukuthi senze ukunyakaza okune okuyinhloko. Cabanga ukuthi imisebenzi yethu yansuku zonke ibingaba nzima kangakanani ngaphandle kwalokhu kunyakaza.

Ingqiniba iluhlobo luni lwelunga?

Indololwane iyilungu elikhethekile kakhulu. Odokotela bathi liwela ezinhlotsheni ezimbili.

1. I-synovial joint: Lolu uhlobo lwe-joint emzimbeni wethu oluvumela inkululeko enkulu yokunyakaza. Kulolu hlobo lwe-joint, ithambo elilodwa lixhunywe kwelinye ithambo ngesokhethi. Iziphetho zamathambo zimbozwe yi-cartilage ebushelelezi (i-hyaline cartilage). Futhi, kukhona uketshezi lwe-synovial ngaphakathi kwaleli joint. Lokhu kufana namafutha emshinini. Lolu ketshezi luvumela amathambo ukuthi ahambe kahle kakhulu ngaphandle kokukhuhlana.

2. I-Hinge kanye ne-Pivot Joint: Ingqiniba yenza izinto ezimbili ngesikhathi esisodwa.

• I-hinge joint: Njenge-hinge yomnyango, indololwane ingagoba futhi yelule ingalo, njengoba nje umnyango ungavuleka futhi uvale ngesandla esisodwa.
• I-Pivot joint: Njengenyoni ejikeleza endaweni eyodwa. Leli khono yilona elisivumela ukuthi siphendulele izingalo zethu phezulu naphansi.

Ake sibheke izingxenye ezakha i-elbow joint.

Lesi sakhiwo esimangalisayo esibizwa ngokuthi i-elbow joint sakhiwe izingxenye eziningana eziyinhloko.

Amathambo

Amathambo amathathu ayinhloko ayahlangana ukuze akhe ijoyinti lendololwane:

• Ithambo lengalo (i-humerus): Leli litholakala engxenyeni engenhla yengalo.
• Ulna: Leli yithambo elide elingaphakathi kwengalo.
• I-Radius: Leli yithambo elifushane ohlangothini lwezinzwane ezinkulu zengalo.

Uqwanga

I-cartilage iyisicubu esiqinile nesiguquguqukayo esivikela amalunga ethu. Kufana nomshini wokudambisa ukwethuka emotweni. I-cartilage ebushelelezi endololwaneni ivumela amathambo ukuba anyakaze ngaphandle kokukhuhlana futhi ngaphandle kobuhlungu.

Ama-Ligaments

Ama-ligament afana nezintambo eziqinile. Ahlanganisa amathambo futhi agcine ilunga lizinzile. Kunezinhlayiya ezintathu eziyinhloko endololwaneni.

• I-medial collateral ligament: Ixhuma i-humerus ne-ulna ngaphakathi.
• I-lateral collateral ligament: Ixhuma i-humerus ne-ulna ngemuva.
• I-ligament ehlanganisiwe: Igoqa ingxenye ephezulu ye-auricle, iyixhumanisa namanye amathambo amabili.

Imisipha

Izindololwane zethu zinyakaziswa yimisipha esezandleni zethu. Lapho le misipha ifinyela futhi yelula, ukunyakaza kwezandla zethu kwenzeka.

Imizwa Nemithambo Yegazi

Imizwa ifana nezintambo zikagesi. Ithwala imiyalezo esuka ebuchosheni iye endololwaneni, futhi ithwala nemizwa (ukuthinta, ubuhlungu) esuka endololwaneni iye ebuchosheni. Inzwa ye-Radial, inzwa ye-Ulnar, kanye nenzwa ye-Median ngezinye zemizwa eyinhloko edlula endololwaneni. Imithambo yegazi inikeza umoya-mpilo kanye nezakhamzimba ezicutshini ezisendololwaneni.

Izinkinga ezivamile zendololwane kanye nezinkinga

Izindololwane zethu zingaba nezinkinga ezahlukahlukene kanye nokulimala. Ezinye zalezi zivame kakhulu kubadlali.

• I-Arthritis: Ukuvuvukala kwamalunga, okusho ukuvuvukala nobuhlungu emalungeni.
• I-Elbow bursitis: Ukuvuvukala kwezikhwama ezigcwele uketshezi (i-bursae) ezizungeze ijoyinti lendololwane.
• I-Nursemaid elbow: Isimo lapho i-elbow joint ikhubeka kancane, ngokuvamile ibangelwa izinto ezifana nokudonsa ingalo yengane encane.
• I-Tendinitis: Ukuvuvukala kwezicubu (ama-tendon) axhumanisa imisipha namathambo.

Ukulimala okuvamile okuhlobene nezemidlalo:

• Ukuqhekeka: Ukwelula kwemisipha.
• Indololwane yethenisi: Ubuhlungu ngaphandle kwendololwane. Lokhu kungathinta noma ubani owenza umsebenzi wezandla, hhayi abadlali bethenisi kuphela.
• Indololwane yomshayi wegalofu: Ubuhlungu ngaphakathi kwendololwane.
• Izindololwane eziphumile.
• Ukuphuka kwendololwane.

Yiziphi izimpawu ezivamile zalezi zinkinga?

Uma ulimele endololwaneni, ungase ube nesinye noma ngaphezulu salezi zimpawu:

• Ubuhlungu endololwaneni, ikakhulukazi lapho ugoba futhi welula ingalo
• Ukuvuvukala
• Ukuqina
• Ukuzizwa ubuthakathaka esandleni, uzizwa sengathi ilunga alizinzile
• Ukubomvu kwesikhumba, ukudumba, noma ukushintsha kombala
• Ukuzwa ukufudumala endaweni yengqiniba

Uma unezimpawu ezinjengalezi izinsuku ezingaphezu kwezimbalwa, qiniseka ukuthi ubonana nodokotela ukuze akunike iseluleko .

Ukuhlolwa kokuxilonga inkinga yendololwane

Uma uya kudokotela, uzokuxilonga futhi, uma kudingeka, angakuyalela ukuhlolwa okuthile, okufana nalokhu:

• Ama-X-ray endololwaneni: Hlola ukuthi amathambo aphukile noma ezinye izinkinga.
• Izikena ze-Ultrasound: Hlola isimo sezicubu ezithambile njengemisipha nemisipha.
• Ukuskena kwe-CT: Thola isithombe esiningiliziwe samathambo.
• I-MRI Scan: Thola isithombe esicacile sezicubu ezithambile.
• Ukufuthwa kwamalunga: Kuthathwa isampula yoketshezi oluvela emalungeni ukuze kuhlolwe ukutheleleka.
• Ukuhlolwa kwegazi: Ukuthola izimo ezifana ne-arthritis.

Ukwelashwa futhi sikunakekela kanjani ukulimala kwendololwane?

Uhlobo lokwelashwa oludingayo luzoncika kuhlobo lokulimala kwakho. Ungase ukwazi ukuba ngcono ngezinto ezilula ongazenza ekhaya. Ngezinye izikhathi kungadingeka ugqoke isilingi, i-brace, noma i-cast. Uma ukulimala kukubi kakhulu, udokotela wakho angase akuncomele ukuhlinzwa (njengokuhlinzwa kwe-elbow arthroscopy).

Uma ulimele kancane, ungalandela indlela ye-RICE ekhaya. Kulula kakhulu.

Ungazibandakanyi kwezemidlalo noma emisebenzini ecindezela kakhulu indololwane kuze kube yilapho udokotela ekunike imvume.

Ngokuvamile sicabanga ngezindololwane zethu kuphela uma sifika ekhoneni letafula, kodwa manje uyabona ukuthi leli lunga libaluleke kangakanani empilweni yethu. Nakuba liyinkimbinkimbi, linamandla kakhulu. Ngakho-ke, kungumthwalo wethu ukulinakekela kahle.